2001, Number 1
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Salud Mental 2001; 24 (1)
Mente-cerebro: sus señales y su repercusión en el sistema inmunológico
Heinze G
Language: Spanish
References: 40
Page: 3-9
PDF size: 121.49 Kb.
ABSTRACT
Psychiatric disorders may only be understood on the basis of multifac-torial genesis. Psychosocial and biological factors (brain neurotrans- mitters) participate in depression. Our childhood experiences interact with our genetic background, therefore mental health is a complex fenotype influenced by both types of factors. An important line of investigation is the emotional life of people. At present, studies focusing on the psychodynamic factors are also including neurobiologic factors, which study the biochemical modifica- tions caused by stress. The hypocampus is a fundamental structure in learning and memory processes, which may be affected by emotion and stress. There is a high concentration of glucocorticoid receptors (the stress hormone) in the hypocampus, therefore it is considered as the key site for the integration of the cognitive, neurohormonal and neurochemical reponse to emotion and stress. Hypocampal dysfunc-tion produces a series of memory disorders. Glucocorticoids gener- ated by prolongued stress may not only reduce the hypocampal vol- ume, but also affect the modulation of genetic expression, immunity, reproduction and bone construction. The most recent imagenology technics have shown disorders in this neuroanatomic structure in pa- tients having experienced traumatic childhood life events or stressing experiences in adulthood (as in battle). The cerebral response to stress is closely related to the immuno- logic system. Intercommunication between the nervous and immu- nologic systems is carried out not only by neurotransmitters gener- ated in the brain, and hormones produced by the endocrine system, but also by the cells regulating the immune response, such as citocines, whose action on the brain and on behavior is being actually investi- gated.
REFERENCES
AREHART-TREICHEL J: Stress more toxic to brain than researchers thought. Psychiatric News, Mayo 19, 2000.
BARKER E, FUJIMARA SF, FADEM MB, LANDAY AL, LEVY JA: Immunological abnormalities associated with chronic fatigue syndrome. Clinical Infectious Diseases, 18: s136-s141.1994.
BERNTON EW, BEACH JE, HOLADAY JW,SMALLRIDGE RC, FEIN HGZ: Release of multiple hormones by a direct action of interleukin-1 on pituitary cells. Science, 238: 519-521, 1987.
BESEDOVSKY H, DEL REY A, SORKIN E, DA PRADA M, BURRI R, HONEGGER C: Cytokines as modulators of the hypothalamus-pituitary-adrenal axis. J Steroid Biochem Mol Biol, 40: 613-618, 1991.
BRANDON DD, KENDALL JW, ALMAN K, TOWER P, LORIAUX DL: Inhibition of dexamethasone binding to human glucocorticoid receptor by New World primate cell extracts. Steroids, 60: 463-466, 1995.
BREMNER JD: Does stress damage the brain? Biol Psy-chiatry, 45:797-805, 1999.
DEUSCHLE M, SCHWEIGER U, WEBER B, GOTTHARDT U, KORNER A, SCHMIDER J y cols.: Diurnal activity and pulsatility of the hypothalamus-pituitary-adrenal system in male depressed patients and healthy controls. J Clin Endocrinol Metab, 82: 234-238, 1999.
EICHENBAUM H: Conscious awareness, memory and the hippocampus. Nature Neuroscience, Vol. 2, No. 9, pp. 775-776, 2001.
FREUD S: Introductory Lectures on Psychoanalysis. En: Standard Edition of the Complete Psychological Works of Sigmund Freud. Hogarth Press, Londres, 1964.
FREUD S: Standard Edition of the Complete Psychological Works of Sigmund Freud. Hogarth Press, Londres, 1964.
GORMLEY GJ, LOEY MT, REDER AT, HOSPELHOM VD, ANTEL JP, MELTZER HY: Glucocorticoid receptors in depression: relationship to the dexamethasone supression test. Am J Psychiatry, 142: 1278-1284, 1985.
GURVITZ TV, SHENTON ME, PITMAN RK: Reduced hippocampal volume on magnetic resonance imaging in chronic post-traumatic stress disorder. Annual Interna- tional Society of Traumatic Stress Studies, Miami, 1995.
KENDLER KS, MYERS JM, NEALE MC: A multidimensional twin study of mental health in women. The American Journal of Psychiatry, 157, 4:506-513, 2000.
KIELCOTT-GLASER JK, MARUCHA PT, MALARKEY WB, MERCADO AM, GLASER R: Slowing of wound healing by psychological stress. Lancet, 346: 1194- 1196, 1995.
KONSTANTINOV K, VON MIKEEZ A, BUCHWALD D, JONES J, GERACE L, TAN EM: Autoantibodies to nuclear envelope antigens in chronic fatigue syndrome. Journal of Clinical Investigations, 98: 1888-1896, 1996.
KRAEPELIN E.: Manic-Depressive Insanity and Paranoia. E. and S. Livingstone, Edinburgo, 1921.
KRONFOL Z, REMICK DG: Cytokines and the brain: implications for clinical psychiatry. Am J Psychiatry, 157:5, 2000.
KUNKEL SL, REMICK DG (eds): Cytokines in Health and Disease. Marcel Dekker, Nueva York, 1992.
LEDOUX J: The Emotional Brain. The Mysterious Under-pinnings of Emotional Life. Simon & Schuster, Nueva York, 1996.
LLOYD A, HICKIE I, WAKEFIELD D: Immunity and the pathophysiology of chronic fatigue syndrome. Ciba Foundation Symposium, 173: 176-192, 1993.
MAES M, MELTZER H, BOSMANS E, BERGMANS R,VANDOOLAEGHE E, RAJAN R, DESNYDER R: Increased plasma concentrations of interleukin-6, soluble interleukin-6 receptor, soluble interleukin-2 receptor and trasferrin receptor in major depression. J Affect Disord, 34, 301-309, 1995.
MUSSELMAN DL, NEMEROFF CB: Adrenal function in major depression. The endocrinologist, 5:91-96, 1995.
PRATT WB, TOFT DO: Steroid receptor interactions with heat shock protein and immunophilin chaperones. Endocr Rev, 18: 302-360, 1997.
RAPAPORT MH, TORREY EF, MCALLISTER CG, NELSON DL, PICKAR D, PAUL SM: Increased serum soluble interleukin-2 receptors in schizophrenic monozygotics twins. Eur Arch Psychiatr Clin Neurosci, 243: 7-10, 1993.
RITTER S, PELZER NL, RITTER RC: Absence of glucoprovic feeding after stress suggests impairment of noradrenergic neuron function. Brain Res, 149:399-411. 1978.
RIVEST S, RIVIER C: Centrally injected interleukin-1β inhibits the hippothalamic LHRH secretion and circulating LH levels via prostaglandins in rats. J Neuroendocrinol, 5: 445- 450, 1993.
RIVIER C: Neuroendocrine effects of cytokines in the rat.Rev Neurosci, 4: 223-237, 1993.
SAPOLSKY R, RIVIER C, YAMAMOTO G, PLOTSKY P, VALE WW: Interleukin-1 stimulates the secretion of hippothalamic corticotropin-releasing factor. Science, 238: 522-524, 1987.
SCHLECHTE JA, SHERMAN B: Lymphocyte glucocorticoid receptor binding in depressed patients with hypercortisolaemia. Psychoneuroendocrinology, 10: 469-474. 1985.
SHELINE Y, WANG P, GADO M, CSERNANSKY J,VANNIER M: Hippocampal atrophy in major depression. Proc Natl Acad Sci USA, 93:3908-3913, 1996.
SPECTOR NH: The great Hans Selye and the great «stress» muddle. Developmental-Brain-Dysfunction, 10, 6: 538-542, 1997.
STARKMAN MN, GEBARSKI SS, BERENT S,SCHTEINGART DE: Hippocampal formation volume, memory disfunction, and cortisol levels in patients with Cushing´s Syndrome. Biol Psychiatry, 32: 756-765, 1992.
STERNBERG E: Emotion and Disease: A balance of Molecules. En: States of Mind, Roberta Conlan(Ed.), 103- 122, John Wiley and Sons, Inc. Washington, 1999.
VAN PRAAG HM: Faulty cortisol/serotonin interplay.Psychopathological and biological characterisation of a new, hypothetical depression subtype (SeCA depression). Psychiatry Res, 65: 143-157. 1996.
WEISS JM, BAILEY J, GLAZER HI: Effects of acute exposure to stressors on subsequent avoidance-escape behavior. Psychosom Med, 37:499-521, 1975.
WEISS JM, SIMSON PG, AMBROSE MJ, WEBSTER A,HOFFMANN LJ: Neurochemical basis of behavioral depression. En: Advances in Behavioral Medicine, Vol. 1, E. Katkin and S. Maunch (Eds.), pp. 233-275. JAI Press, Greenwich, 1985.
WEISS JM, STONE EA, HARRELL N: Coping behavior and brain norepinephrine level in rats. J Comp Physiol Psychol, 72: 153-160. 1970.
WEISS JM: Stress induced depression: En: Critical Neuro-chemical and Electrophysiological Changes. Neurobiology of learning, Emotion and Affect. John Madden (Ed.), pp. 123- 154, Raven Press, Nueva York, 1991.
YEHUDA R., KAHANA B, BINDER-BYRNES K y cols.: Low urinary cortisol excretion in Holocaust survivors with postraumatic stress disorder. Am J Psychiatry, 152: 982-986, 1995.
YEHUDA R, SOUTHWICK SM, MASON JW y cols: Interactions of the hypothalamic-pituitary adrenal axis and the catecholaminergic system of the stress disorder. En: Guiller EL. (Ed). Biological Assesment and Treatment of PTSD. American Psychiatric Press, Washington, 1990.